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JAMES NICHOLAS LOMBARDO PMHNP-BC
NPI 1689400251
Nurse Practitioner - Psychiatric/Mental Health in Stony Brook, NY

Active since September 11, 2024PECOS EnrolledAccepts Medicare Assignment
PUTNAM HALL STONY BROOK UNIVERSITY, STONY BROOK, NY 11794(631) 332-1507 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2025, May 19, 2025, Sep 11, 2024 (3 updates tracked since 2024).

About James Nicholas Lombardo Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES NICHOLAS LOMBARDO PMHNP-BC (NPI 1689400251) is an individual psychiatric/mental health provider in Stony Brook, New York, licensed in New York (405947) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689400251
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJAMES NICHOLAS LOMBARDOCredential: PMHNP-BC
Location AddressPUTNAM HALL STONY BROOK UNIVERSITYStony Brook, NY 11794-1746
Mailing AddressPutnam Hall Stony Brook UniversityStony Brook, NY 11794-0001 · (631) 632-2428
Phone(631) 332-1507
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 11, 2024
Last NPPES UpdateJune 3, 20253 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1689400251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 405947
PUTNAM HALL STONY BROOK UNIVERSITY, Stony Brook, NY 11794
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Nicholas Lombardo Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062933963
PECOS Enrollment IDI20250307002297
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Lombardo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Psychiatric Associates, University Faculty Practice Corpor
0.1 mi
Psychiatry
SUNY @ STONY BROOK, HSC, L10, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 133 clinicians in this Medicare group
NPI 1437105905 (631) 444-8125

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Lombardo's NPI number?

The NPI number for James Lombardo is 1689400251. It was assigned to this individual provider in the NPPES registry on September 11, 2024.

Where is James Lombardo located?

James Lombardo practices at Putnam Hall Stony Brook University, Stony Brook, NY 11794. The listed phone number is (631) 332-1507.

What is James Lombardo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is James Lombardo enrolled in Medicare?

Yes. James Lombardo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James Lombardo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Lombardo reassigns Medicare benefits to Stony Brook Psychiatric Associates, University Faculty Practice Corpor (Stony Brook, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Lombardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Lombardo accept?

Health plans from Oscar Health list James Lombardo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Lombardo was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.